The effects of emotional lability, mind wandering and sleep quality on ADHD symptom severity in adults with ADHD are now finally being recognized. Mind wandering is a cause of emotional dysregulation when the negative content of the thought, or the intrusive nature of mind wandering itself, leads to higher levels of stress, including emotional distress, which in turn enhances the level of task-unrelated, negatively-valanced thoughts.
Since emotional symptoms are common in ADHD patients and commonly associated with much morbidity, some consider it to be a core feature rather than an associated trait. Others argue that emotional symptoms are too nonspecific for use as diagnostic criteria. This review gives guidance to clinicians and patients on the topic.
Familial High Risk (FHR) of Schizophrenia (FHR-SZ) and Bipolar Disorder (FHR-BP) is highly significant in comorbidity with ADHD. A new study of 522 - 7-year olds - shows, that 20.9% of offspring from FHR-SZ and 9.3% of offspring with FHR-BP, also suffers from ADHD. This has important implications for medicinal treatment with ADHD medication due to the increased risk of developing psychosis as a result of ADHD-medication.
Mind wandering, emotional lability and sleep quality are currently mostly independently investigated but are all interlinked and play a major role is Adult ADHD. Emotional lability is a core feature of the disorder, excessive mind wandering has recently been linked to symptoms and impairments of ADHD and poor sleep quality is experienced by a clear majority of adults with ADHD.